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Katie Ickes
NPI 1932590486 · on the registry since 2015
Practice
- Address
- 255 Colrain St Sw Ste 2
Wyoming, MI 49548 - Phone
- (616) 988-1479
- Fax
- (616) 988-1473
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan